Organization Active NPI

Creating Brighter Futures

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1780346171
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATING BRIGHTER FUTURES
Practice address
4722 N 68TH St
Milwaukee, WI 53218-4826
Phone
(414) 712-8221
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laquonda S Bogan
Title
Ceo
Phone
(414) 712-8221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4722 N 68TH St
Milwaukee, WI 53218-4826

Mailing address

4722 N 68TH St
Milwaukee, WI 53218-4826
Phone (414) 712-8221

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1780346171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184826",
            "telephone_number": "414-712-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 N 68TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184826",
            "telephone_number": "414-712-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BRIGHTER FUTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "LAQUONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-712-8221"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.